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HomeMy WebLinkAbout36366-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 6/2/2011 CERTIFICATE OF OCCUPANCY No: 34977 Date: 6/2/20 Location of Property: SCTM #: 473889 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 5/9/2011 pursuant to which Building Permit No. 36366 THIS CERTIFIES that the building RESIDENTIAL ADDITION 2555 YOUNGS AVENUE SOUTHOLD, N.Y. 11971, Southold Sec/Block/Lot: 63.2-1-25 Lot No. filed hi this officed dated dated 5/9/2011 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: handicap ramp to an existing dwelling as applied for (unit 9E). The certificate is issued to Mccarthy, Mona (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK°S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 36366 Permission is hereby granted to: Mccarthy, Mona PO BOX 842 Date: 5/9/2011 Southold, NY 11971 To: construct a handicap ramp to an existing dwelling as applied for At premises located at: 2555 Youngs Ave SCTM # 473889 Sec/Block/Lot # 63.2-1-25 Pursuant to application dated To expire on 1117/2012. Fees: 5/9/2011 and approved by the Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION CO - ADDITION TO DWELLING Total: $200.00 $50.00 $250.00 Building Inspector Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwel!ing $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $I 5.00, Commercial $15.00 New Construction: ~f Old or Pre-existin- Building: (check one) LocationofProperty:a~'~--- ~401.)(1~_a3 ]/'~/~,) ~~~ House No. ~ ~ S~et~ - Owner or Owners ofPro~: ¢~.~_ ~I~G~ Suffolk Coun~ ~ Map No 1000, Section ~95,2 Bloa } Subdivision Permit No. 3 ~:>3 ~o (_[') Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ {~. (5L~ Hamlet Filed Map. .~ Lot: ate ofPe m t. !q I ' ) Applicant: ~(~_ f'%LI Underwriters Approval: (check one) Applicant Signature TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING ~ FINAL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSFECTION J F~ERESlSTANTC0NS?.UCTION [ J RRE.ESlSTAInFENETRATION REMARKS~' ~ .~'~ DATE ~'-a {-II INSPECTOR~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved Disapproved a/c ,~o// Expiration BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey. Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: ~ ---q / Building Inspector t0wr,~ OF S01]rHOLB ] Date INSTRUCTIONS q//O ,20/) a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoiniqg premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. OCCUPANCY OR q (.9 ~ ~gn~u~(° ~O~-~ c ant °r n~e' if a c°rp°rati°n) USE IS UNLAW,., .. Ld l (Mailing address of applicant) CF;,:' ' State whether applicant is owner, lessee, agent¢ ~ehitect, engineer, general contr~:E~ff..l~Czj, ci, a.n plumber or builder '~ /-~,. ,, Name ofownerofpremises ~/hOv'-tO,.. , b"~'l~_.~/'l-~JJ'~.lC~.~' ""'~ B¥/~J~- If applicant (//~orpo. ra~~-~uthor(izAeS;on~hte:ax roll or I~~¢PRpNA~i,¢R~}HA ~~Jt*~.~e ortic4) _ FOR POURE~ CO~C~i '~'~'-' ..... ~-y__ '---" ~ .oue. ~R*M"-- - · ' ~5. PLUMBING. STRAPPING.'ELE6 TRiCAb~ O.~ iLKiN6 Builddrs License No. 3. Plumbers License No. 4. FII:I~I.-~gOIC~TI~uctJoN Electricians License No. MUST 8E COtvlPLETE FOr~ CO. Other Trade's License No. &LL CONSTRUCTIO~ SH~LL MEET THE REOUIREMENT$ CE THE CODEs OF NEW YORK STATE. NOT RE$1:K)NSIBLE 1'C~ ~-'-5-'~- L.ocation or ,.dlLjOoKl(.~.on which proposed)/.~ x.t ~.w°rk wi[kL~_.be done.~ © ,OXtr.~.[ 0" [d]gg2ml~et ~81~10~ House Number ~treet ~ ~ . · County Tax Map No. 1000 Section (~)(-93 Block C)c:~ - O ~ Lot Subdivision Filed Map No. Lot (Name) 5. If dwelling, number of dwelling units If garage, number of cars Nature of work (check which applicable): New Building Repair __ Removal Demolition Estimated Cost4~ 1 ~ ~ 2. State existing use and occupancy ofpremises~d intended use atl~occup~t~cy of proposed construction: a. Existing use and occupancy l ~ q ( '~r~ ' · b. Intended use and occupancy l ~CLr/A__t l t~ ~'?D ,~k d/-D 3. Addition -, /~l~eration~.~l (Description) (To be paid on filing this apphcation) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use2. 7. Dimensions of existing structures, if any: Front Rear Depth Height. Number of Stories Dimensions of same structure with alterations or additions: Front Depth. Height Number of Stodes Rear Dimensions of entire new construction: Front Height Number of Stories Rear _Depth 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES N0~k/ 13. Will lot be re-graded? YES __ NO__Will excess fill be removed fi.om premises? YES NO ~/ Address Phone No. Address Phone No Address Phone No. __NO < 14. Names of Owner of premises Name of Architect Name of Contractor 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO ~/ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. " 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) s: ~-~'~[/~'1~'~'~5'~ ff'~ }3~'~]~(~-~ being duly swom, deposes and says that (s)he is the applicant (Name of individual siglntt/g ~ve ri?ned, (S)He is the '(~Co~tractor, Agont, Corporate Officer, etc.) of said owner or owners, and is' duly authorized t~ perform or have performed the said work and to make and file this application; that all statements contained in this 'ap~plication'are tree to the best of his knowledge ~nd belief; and that the work will be performed in the manner set forth in the4iP~licati~n filed therewith. before me this v~ ,q i ' ' ' ' Nom~ Phblic Rmh L~ No~ Public State of N~O~ No. 0~ L06054063 Qualified in Suffolk Coun~ I < Commiasion ~ires March ~, 20 ~ Signature of Applicant 46520 COUNTY ROAD 48 SOUTHOLD, NY 11971 (631) 765-5815 FAX (631) 765-5816 RE: WE ARE SENDING YOU [] Attached [] Under separate cover via > FI Shop drawings [] Prints [] Plans ~ Copy of letter [] Change order [] Samples the following items: ~ Specifications THESE ARE TRANSMI~I-ED as checked below: I ] For approval F2 For your use ! ! As requested · For review and comment ~ FOR BiDS DUE I Approved as submitted ~ Approved as noted / ] Returned for corrections I' E3 Resubmit F~ Submit il Return copies for approval copies for distribution corrected prints PRINTS RETURNED AFTER LOAN TO US REMARKS · COPYTO SIGNED: If enclosures are not as noted, kindly notify us at once. Fhomas J. McCarthy Real Estate, Inc.~ www. thomasjmccarthy, com (~ _1'¥~,~*z....$~ ~ ~.f-.~y~..~r_:g,,q **(~ ~e.~ ,~c~c.&s.~...~_~.~._~ ......... ...........~_